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1. Analisi della scarsa attitudine alla vaccinazione antinfluenzale dei medici italiani del futuro: risultati di uno studio multicentrico condotto in 18 Università Italiane

Author

COSTANTINO, Claudio, AMODIO, Emanuele, CALAMUSA, Giuseppe, VITALE, Francesco, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, A, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Wauree, C, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, ME, Franco, E, Furnari, R, Galis, V, Gallea, MR, Gallone, MF, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, AR, Grillo, OC, Lanati, N, Mascaretti, S, Mattei, A, MAZZUCCO, Walter, Micò, R, Morciano, L, Nante, N, NAPOLI, Giuseppe, Nobile, C, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, FS, Signorelli, C, Siliquini, R, Trabacchi, V, Varetta, A, Ziglio, A, Zoccali, A, Costantino, C, Amodio, E, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, A, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Wauree, C, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, ME, Franco, E, Furnari, R, Galis, V, Gallea, MR, Gallone, MF, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, AR, Grillo, OC, Lanati, N, Mascaretti, S, Mattei, A, Mazzucco, W, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, C, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, FS, Signorelli, C, Siliquini, R, Trabacchi, V, Varetta, A, Ziglio, A, Zoccali, A, Calamusa, G, and Vitale, F

Subjects
studio multicentrico, specializzandi, Vaccinazione antinfluenzale, Settore MED/42 - Igiene Generale E Applicata
Abstract

Introduzione: Nel corso della stagione influenzale, gli Operatori Sanitari (OS) rappresentano una delle categorie lavorative maggiormente investite dalla responsabilità di limitare la diffusione della patologia influenzale tra i pazienti ospedalizzati e contemporaneamente di proteggere se stessi garantendo la continuità dell'assistenza sanitaria nei periodi di maggiore assenteismo lavorativo e sovraccarico delle attività assistenziali (picco influenzale stagionale). La vaccinazione antinfluenzale, ormai riconosciuta sicura ed efficace, rappresenta ancora oggi una argomento di dibattito tra gli OS, nonostante le raccomandazioni dei Center for Disease Control and Prevention Statunitense ed Europeo a mantenere le coperture tra gli OS sopra il 75%. Numerosi studi confermano come i tassi di vaccinazione antinfluenzale rimangano generalmente bassi sia tra gli OS che in particolare tra i medici in formazione specialistica (MFS). I risultati del presente studio multicentrico cercano di indagare le attitudini e i determinanti associati con la scelta vaccinale antinfluenzale tra i MFS italiani per comprendere le cause e proporre delle soluzioni. Materiali e Metodi: Nel 2012 è stata condotta una survey tra i MFS iscritti a 18 Università Italiane (Bari, Bologna, Brescia, Catania, Catanzaro, Chieti, L'Aquila, Messina, Modena, Napoli Federico II, Palermo, Pavia, Parma, Roma Cattolica, Roma Tor Vergata, Siena, Torino, Verona). Ciascun partecipante è stato contattato tramite una mail in cui erano illustrate le motivazioni dello studio e veniva chiesto di rispondere ad un breve questionario online, anonimo ed autosomministrato che includeva domande sulle attitudini riguardanti la vaccinazione antinfluenzale. Il questionario è stato precedentemente elaborato in collaborazione con il gruppo di lavoro nazionale e successivamente testato in uno studio pilota condotto nell'Università capofila dello studio (Palermo). Results: 2.506 MFS su un totale di 10.854 hanno aderito allo studio (23.1%). L'adesione alla vaccinazione antinfluenzale per la stagione 2011/2012 è stata pari al 11,9%, dato in chiara diminuzione rispetto al 2010/2011 (21.,7%) ed al 2009/2010 (15.5%). I MFS vaccinati nella stagione 2011/2012 sono significativamente più anziani (p=0.006), afferenti all'area clinica (p=0.048), e vaccinati nelle precedenti stagioni influenzali (p

Published
2014

2. INCIDENZA DELL'INFLUENZA LIKE-ILLNESS TRA I MEDICI IN FORMAZIONE SPECIALISTICA ITALIANI: RISULTATI DI UNO STUDIO MULTICENTRICO

Author

Restivo, Vincenzo, COSTANTINO, Claudio, AMODIO, E, AZZOLINI, E, BALDINI, C, BERGOMI, M, BIAFIORE, A. D., BIANCO, M, BORSARI, L, CACCIARI, P, CADEDDU, C, CAMIA, P, CARLUCCIO, E, CONTI, A, DE WAURE, C, DI GREGORI, V, FABIANI, L, FALLICO, R, FILISETTI, B, FLACCO, M. E, FRANCO, E, FURNARI, R, GALIS, V, GALLEA, M. R, GALLONE, M. F, GALLONE, S, GELATTI, U, GILARDI, F, GIULIANI, A. R, GRILLO, O. C, LANATI, N, MASCARETTI, S, MATTEI, A, MICO' R, MORCIANO, L, NANTE, N, NAPOLI, Giuseppe, NOBILE, C, PALLADINO, R, PARISI, S, PASARO, M, PELISSERO, G, QUARTO, M, RICCIARDI, W, ROMANO, G, RUSTICO, E, SAPONARI, A, SCHIOPPA, F. S, SIGNORELLI, C, SILIQUINI, R, TRABACCHI, V, TRIASSI, M, VARETTA, A, ZIGLIO, A, ZOCCALI, A, CALAMUSA, Giuseppe, FIRENZE, Alberto, VITALE, Francesco, RESTIVO, V, COSTANTINO, C, AMODIO, E, AZZOLINI, E, BALDINI, C, BERGOMI, M, BIAFIORE, A D, BIANCO, M, BORSARI, L, CACCIARI, P, CADEDDU, C, CAMIA, P, CARLUCCIO, E, CONTI, A, DE WAURE, C, DI GREGORI, V, FABIANI, L, FALLICO, R, FILISETTI, B, FLACCO, M E, FRANCO, E, FURNARI, R, GALIS, V, GALLEA, M R, GALLONE, M F, GALLONE, S, GELATTI, U, GILARDI, F, GIULIANI, A R, GRILLO, O C, LANATI, N, MASCARETTI, S, MATTEI, A, MICO' R, MORCIANO, L, NANTE, N, NAPOLI, G, NOBILE, C, PALLADINO, R, PARISI, S, PASARO, M, PELISSERO, G, QUARTO, M, RICCIARDI, W, ROMANO, G, RUSTICO, E, SAPONARI, A, SCHIOPPA, F S, SIGNORELLI, C, SILIQUINI, R, TRABACCHI, V, TRIASSI, M, VARETTA, A, ZIGLIO, A, ZOCCALI, A, CALAMUSA, G, FIRENZE, A, and VITALE,F

Subjects
INFLUENZA, MEDICI IN FORMAZIONE, Settore MED/42 - Igiene Generale E Applicata
Published
2014

3. Immunization practices in athletes

Author

Trabacchi, V., Anna Odone, Lillo, L., Pasquarella, C., Signorelli, C., Trabacchi, Valeria, Odone, Anna, Lillo, Lorella, Pasquarella, Cesira, and Signorelli, Carlo

Subjects
Primary Prevention, Primary prevention, Italy, Athletes, Communicable disease, Communicable Disease Control, Vaccination, Humans, Immunization, Recommendation, Communicable Diseases, Immunization Schedule, Sport
Abstract

INTRODUCTION:Immunization practices of athletes is a topic of growing interest in preventive medicine. Several reasons contribute to support such statement including: the demonstrated decrease of the immune response of athletes, the recent increase in vaccine-preventable diseases, the increasing mobility of professional athletes and coaches and sports doctors' frequent lack of awareness of on the issue of athletes' immune prophylaxis.RESULTS:This review offers a concise and schematic framework to the immunization practices in athletes, based on the most recent scientific evidences and the vaccine schedules proposed by international organizations and scientific societies including the recent "Life Vaccination Schedule" proposed by four Italian Scientific Societies and Professional Associations.CONCLUSION:vaccination in athletes, if correctly managed, represents a powerful, costly and long lasting tool for athletes sport teams.

Published
2015

5. Exposure to Bio-Aerosols in swine workers

Author

Riccò M, Manotti P, Trabacchi V, Odone A, Boccuni C, Lalic T, Antolini R, Signorelli C, Riccò, M, Manotti, P, Trabacchi, V, Odone, A, Boccuni, C, Lalic, T, Antolini, R, and Signorelli, C

Published
2010

12. Influenza vaccination coverage among medical residents

Author

Costantino, C., Mazzucco, W., Azzolini, E., Baldini, C., Bergomi, M., Biafior, A., Bianco, M., Borsari, L., Cacciari, P., Cadeddu, C., Camia, P., Carluccio, E., Conti, A., De Waure, C., Di Gregori, V., Fabiani, L., Fallico, R., Filisetti, B., Flacco, M., Franco, E., Furnari, R., Galis, V., Gallea, M., Gallone, M., Gallone, S., Gelatti, U., Gilardui, F., Giuliani, A., Grillo, Orazio Claudio, Lanati, N., Mascaretti, S., Mattei, A., Micò, R., Morciano, L., Nante, N., Napoli, G., Nobile, C., Palladino, R., Parisi, S., Passaro, M., Pelissero, G., Quarto, M., Ricciardi, W., Romano, G., Rustico, E., Saponari, A., Schioppa, F., Signorelli, C., Siliquini, R., Trabacchi, V., Triassi, M., Varetta, A., Ziglio, A., Zoccali, A., Vitale, F., and Amodio, E.

Published
2014

13. Influenza vaccination coverage among medical residents: an Italian multi center survey

Author

Costantino, C, Mazzucco, W, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, Ad, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Waure, C, Di Gregori, V, Fabiani, Leila, Fallico, R, Filisetti, B, Fiacco, Me, Franco, E, Furnari, R, Galis, V, Gallea, Mr, Gallone, Mf, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Anna Rita, Grillo, Oc, Lanati, N, Mascaretti, S, Mattei, Antonella, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, Cg, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, Fs, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Vitale, F, and Amodio, E.

Subjects
medical residents, Italy, vaccination, multicentre survey, coverage rate
Published
2014

14. INCIDENZA DELLE INFLUENZA LIKE-ILLNESSES TRA I MEDICI IN FORMAZIONE SPECIALISTICA ITALIANI: RISULTATI DI UNO STUDIO MULTICENTRICO

Author

Restivo, V, Costantino, C, Amodio, E, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, Ad, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Waure, C, Di Gregori, V, Fabiani, Leila, Fallico, R, Filisetti, B, Flacco, Me, Franco, E, Furnari, R, Galis, V, Gallea, Mr, Gallone, Mf, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Anna Rita, Grillo, Oc, Lanati, N, Mascaretti, S, Mattei, Antonella, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, C, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, Fs, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Calamusa, G, Firenze, A, and Vitale, F.

Published
2014

16. Analisi della scarsa attitudine alla vaccinazione antinfluenzale dei medici italiani del futuro: risultati di uno studio multicentrico condotta in 18 Università Italiane

Author

Costantino, C, Amodio, E, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, A. D., Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Wauree, C, Di Gregori, V, Fabiani, Leila, Fallico, R, Filisetti, B, Flacco, M. E., Franco, E, Furnari, R, Galis, V, Gallea, M. R., Gallone, M. F., Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Anna Rita, Grillo, O. C., Lanati, N, Mascaretti, S, Mattei, Antonella, Mazzucco, W, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, C, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, F. S., Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Calamusa, G, and Vitale, F.

Subjects
Flu vaccine
Published
2013

18. Influenza vaccination coverage among medical residents: an Italian multicenter survey

Author

Costantino, C, Mazzucco, Walter, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, Ad, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, Chiara, Camia, P, Carluccio, E, Conti, A, De Waure, Chiara, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, Me, Franco, E, Furnari, R, Galis, V, Gallea, Mr, Gallone, Mf, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Ar, Grillo, Oc, Lanati, N, Mascaretti, S, Mattei, A, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, Cg, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, Walter, Romano, G, Rustico, E, Saponari, A, Schioppa, F, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Vitale, F, Amodio, E., Cadeddu, Chiara (ORCID:0000-0003-0149-1078), De Waure, Chiara (ORCID:0000-0002-4346-1494), Ricciardi, Gualtiero (ORCID:0000-0002-5655-688X), Costantino, C, Mazzucco, Walter, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, Ad, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, Chiara, Camia, P, Carluccio, E, Conti, A, De Waure, Chiara, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, Me, Franco, E, Furnari, R, Galis, V, Gallea, Mr, Gallone, Mf, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Ar, Grillo, Oc, Lanati, N, Mascaretti, S, Mattei, A, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, Cg, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, Walter, Romano, G, Rustico, E, Saponari, A, Schioppa, F, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Vitale, F, Amodio, E., Cadeddu, Chiara (ORCID:0000-0003-0149-1078), De Waure, Chiara (ORCID:0000-0002-4346-1494), and Ricciardi, Gualtiero (ORCID:0000-0002-5655-688X)

Abstract

Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P<0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P<0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future.

Published
2014

20. Influenza vaccination coverage among medical residents: An Italian multicenter survey

Author

Chiara Cadeddu, Francesco Vitale, Valentina Di Gregori, Lucia Borsari, Maria Elena Flacco, Paola Camia, Maria R Gallea, Anita Saponari, Silvia Mascaretti, Paolo Cacciari, Andrea Ziglio, Niccolò Lanati, Anna Rita Giuliani, Walter Ricciardi, Alessia Varetta, Walter Mazzucco, Carlo Signorelli, Elisabetta Franco, Nicola Nante, Michele Quarto, Barbara Filisetti, Roberto Furnari, Rocco Micò, Roberto Fallico, Valeria Trabacchi, Maria Passaro, Serena Gallone, F Schioppa, Maria Triassi, Margherita Bergomi, Manuela Bianco, Elena Azzolini, Eugenia Carluccio, Chiara De Waure, Emanuele Amodio, F Gilardi, Umberto Gelatti, Cesare Baldini, Antonella Mattei, Roberta Siliquini, Claudio Costantino, Angela Zoccali, Leila Fabiani, Carmelo G A Nobile, Giuseppe Napoli, Laura Morciano, Raffaele Palladino, Veronica Galis, Orazio Claudio Grillo, Salvatore Parisi, Gabriele Romano, Alessio Daniele Biafiore, Ennio Rustico, Gabriele Pelissero, Andrea Conti, Maria Filomena Gallone, Costantino, C, Mazzucco, W, Vitale, F, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, A, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Waure, C, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, M, Franco, E, Furnari, R, Galis, V, Gallea, M, Gallone, M, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, A, Grillo, O, Lanati, N, Mascaretti, S, Mattei, A, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, C, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, F, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Amodio, E, Biafiore, A. D, Amodio, E., Claudio, Costantino, Walter, Mazzucco, Francesco, Vitale, Elena, Azzolini, Cesare, Baldini, Margherita, Bergomi, Alessio Daniele Biafiore, Manuela, Bianco, Lucia, Borsari, Paolo, Cacciari, Chiara, Cadeddu, Paola, Camia, Eugenia, Carluccio, Andrea, Conti, Chiara De Waure, Valentina Di Gregori, Leila, Fabiani, Roberto, Fallico, Barbara, Filisetti, Flacco, Maria E., Elisabetta, Franco, Roberto, Furnari, Veronica, Gali, Gallea, Maria R., Gallone, Maria F., Serena, Gallone, Umberto, Gelatti, Francesco, Gilardi, Giuliani, Anna R., Grillo, Orazio C., Niccol?, Lanati, Silvia, Mascaretti, Antonella, Mattei, Rocco, Mic?, Laura, Morciano, Nicola, Nante, Giuseppe, Napoli, Carmelo, Nobile, Palladino, Raffaele, Salvatore, Parisi, Maria, Passaro, Gabriele, Pelissero, Michele, Quarto, Walter, Ricciardi, Gabriele, Romano, Ennio, Rustico, Anita, Saponari, Schioppa, Francesco S., Carlo, Signorelli, Roberta, Siliquini, Valeria, Trabacchi, Triassi, Maria, Alessia, Varetta, Andrea, Ziglio, Angela, Zoccali, and Emanuele, Amodio

Subjects
Adult, Male, medicine.medical_specialty, Pediatrics, Attitude of Health Personnel, Immunology, Socio-culturale, Settore MED/42 - Igiene Generale E Applicata, Influenza immunization, medical residents, Physicians, Health care, Influenza, Human, medicine, influenza vaccination, coverage rate, Immunology and Allergy, Humans, Good practice, Coverage rate, Influenza vaccination, Italy, Medical residents, Multicentre survey, Female, Influenza Vaccines, Vaccination, Data Collection, Internship and Residency, multicentre survey, Ethical responsibility, Pharmacology, business.industry, Italy, coverage rate, influenza vaccination, medical residents, multicentre survey, Influenza, Multicenter study, Vaccination coverage, Family medicine, Multicenter survey, business, Research Paper, Human
Abstract

Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P < 0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P < 0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future. © 2014 Landes Bioscience.

Published
2014

21. Immunization practices in athletes.

Author

Trabacchi V, Odone A, Lillo L, Pasquarella C, and Signorelli C

Subjects
Humans, Immunization Schedule, Italy epidemiology, Athletes, Communicable Disease Control methods, Communicable Diseases epidemiology, Immunization statistics & numerical data, Primary Prevention methods
Abstract

Introduction: Immunization practices of athletes is a topic of growing interest in preventive medicine. Several reasons contribute to support such statement including: the demonstrated decrease of the immune response of athletes, the recent increase in vaccine-preventable diseases, the increasing mobility of professional athletes and coaches and sports doctors' frequent lack of awareness of on the issue of athletes' immune prophylaxis., Results: This review offers a concise and schematic framework to the immunization practices in athletes, based on the most recent scientific evidences and the vaccine schedules proposed by international organizations and scientific societies including the recent "Life Vaccination Schedule" proposed by four Italian Scientific Societies and Professional Associations., Conclusion: vaccination in athletes, if correctly managed, represents a powerful, costly and long lasting tool for athletes sport teams.

Published
2015

22. Influenza vaccination coverage among medical residents: an Italian multicenter survey.

Author

Costantino C, Mazzucco W, Azzolini E, Baldini C, Bergomi M, Biafiore AD, Bianco M, Borsari L, Cacciari P, Cadeddu C, Camia P, Carluccio E, Conti A, De Waure C, Di Gregori V, Fabiani L, Fallico R, Filisetti B, Flacco ME, Franco E, Furnari R, Galis V, Gallea MR, Gallone MF, Gallone S, Gelatti U, Gilardi F, Giuliani AR, Grillo OC, Lanati N, Mascaretti S, Mattei A, Micò R, Morciano L, Nante N, Napoli G, Nobile CG, Palladino R, Parisi S, Passaro M, Pelissero G, Quarto M, Ricciardi W, Romano G, Rustico E, Saponari A, Schioppa FS, Signorelli C, Siliquini R, Trabacchi V, Triassi M, Varetta A, Ziglio A, Zoccali A, Vitale F, and Amodio E

Subjects
Adult, Female, Humans, Influenza, Human epidemiology, Influenza, Human prevention & control, Italy epidemiology, Male, Vaccination trends, Attitude of Health Personnel, Data Collection methods, Influenza Vaccines therapeutic use, Internship and Residency trends, Physicians trends, Vaccination statistics & numerical data
Abstract

Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P<0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P<0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future.

Published
2014
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23. [Economic class syndrome: epidemiological features and preventive measures].

Author

Signorelli C, Pasquarella C, Trabacchi V, Carreri V, Blangiardi F, and Fara GM

Subjects
Humans, Risk Factors, Socioeconomic Factors, Syndrome, Time Factors, Venous Thromboembolism etiology, Travel, Venous Thromboembolism epidemiology, Venous Thromboembolism prevention & control
Abstract

The term "economic class syndrome" is generally used to describe the occurrence of venous thromboembolism (VTE) in travelers after long-distance airline travel in economic class. However, cases of VTE have also been reported in business class travelers and in subjects exposed to prolonged periods of immobilization while using other forms of transportation such as automobile, train, and bus. VTE manifests with deep vein thrombosis and pulmonary embolism but may also present with less severe, reversible manifestations such as headache, vertigo, and respiratory symptoms. Epidemiological studies have shown that the risk of VTE doubles following airline travel lasting longer than four hours. The risk of VTE increases with increased duration of air travel even in the presence of multiple stop-overs. In subjects with known risk factors, incidence of VTE depends on the degree of risk (low, medium, high) and on the duration of the flight. The main factor leading to VTE is prolonged immobilization and the pathogenesis is based on Virchow's triad: venous stasis, vessel wall injury, and hypercoagulability of blood. Specific characteristics of airline travel such as jet lag, low air quality and dehydration may increase the risk of VTE with respect to other forms of travel. This article discusses epidemiological aspects and pathogenesis of travel-related VTE and prophylactic measures that should be undertaken.

Published
2011

24. [Multiple chemical sensitivity: a study in a young adult population in Italy].

Author

Trabacchi V, Riccò M, Pasquarella C, and Signorelli C

Subjects
Female, Humans, Italy, Male, Prevalence, Retrospective Studies, Young Adult, Multiple Chemical Sensitivity epidemiology
Abstract

Multiple chemical sensitivity (MCS) is a chronic recurrent condition characterized by reduced tolerance to various environmental agents or to a class of chemical substances. An evidence-based diagnostic panel is not available nor is there a universally accepted definition of the syndrome. This study retrospectively evaluated the prevalence of MCS symptoms and associated risk factors in a sample of 660 young adults, by means of a structured questionnaire. Symptoms of MCS were found to be widely distributed in the sample population and several of the main risk factors suspected to be associated with MCS were not consistently associated with these symptoms in the sample. On the other hand a significant correlation (p<0.05) was found between atopy and symptoms. Further studies are therefore needed to evaluate this association and reach a unifying definition of the syndrome.

Published
2009

25. [Evolution and practical application of the concept of clinical governance in Italy].

Author

Trabacchi V, Pasquarella C, and Signorelli C

Subjects
Humans, Italy, Regional Health Planning, Clinical Governance standards, Quality Assurance, Health Care
Abstract

Clinical Governances' roots in the United Kingdom's National Health Service and the following introduction of "Governo Clinico" in Italy are analyzed. Some definitions of Clinical Governance and "Governo clinico" are presented and discussed, by highlighting the main characteristics and differences, both conceptual and semiological. Finally, legal bases for the official empowerment of Healthcare Governance in Italy are described, by focusing on the Region Emilia-Romagna, whose recent Social and Sanitary Plan for 2008-2010 has developed concepts of integration, multidisciplinarity, responsibility and quality of socio-sanitary services.

Published
2008

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